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° r •d+ ,� UN!-DERGROUN'.: TANKS, &f=RINKLER 6' �5TEr''S,
• • • ;. , '° • {' TE F L �� :q ° SEPTIC 5`I'5TEMS DRAIN FIELDS BEFORE —
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��*ltkoo* PROCEEDING WIT�4 ANY E:�GAv•4T10'N �
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NOTEa1' , r- 10' ° � y m " ; 11V «•° NOTIFY" ALL UTILITIES EFFECTED FOR
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• • "• • °'°"• LOCAL REOUIREMENT5 4 LOCATE5.
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• e • r • r• ° • • «• e• «°°• PROVIDE SILT FENCE IF REQUIRED
PROJECT DE►"10 EX16TLG. E'i1,1411-41—DING • ««.w « -rami, clate
INDICATES Izr;�0PERTI' LINE ---- -= --- - - -•-- - - -- _ 3) DEMO E^X157G, 2,000 5Q. FT, BUILDING.
OWNER -- DAvE a CAVI~ LEEARY : •• . A � *0.000 q E.S.
OR 9 2:'3 eiBioZ
• . . . I 14°°° •• 4) 4Ff=ROXIMATELI' 500 CU. Y RD5. SOIL TO BE fREt-ICVEC;.
1000 S,W. JCNNSON 5T. INDIGA'1'E5 5"i BEET C7'R. LIN --��-------..--.—�'---------------------- 5.> E:�IST �. 30 � FIR TREE TO BE RF_MCv��D.
TIGAf�C),
INDICATES E/15T'G. BLDG. LINE
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PROJ. AC'DRESS _.________�_.__ 1115 5W HALL BLVD. �-- _w •,
TIGARD, OR 9'1223
IND ICATE5 EX,15T'G. BLD G. LINEE D
LOT #
TO BE REMOVED
OT SIZE _--- 30;539 SQ. FT. ) ,, .�
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FOOTPRINT - --- 250& 5Q. FT. E.<ISTING `� 1TE
INDIC,4TES ? ' -0" CONTOURS ................................. .............,................................
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FOOTPRINT ---_._____-------.--_ 87ro 0 NEW
TOTAL -- -_-_ - -- 23a" 50. FT. (' IND. NEW
LOT COVERAGE .___.__ ----- 3(0
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12175 SW Hall Blvd
CITY OF TIGARD BUILDING PERMIT
PERMIT#: BUP2002-00350
DEVELOPMENT SERVICES DATE ISSUED: 9/4/02
13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S102AA-00500
SITE ADDRESS: 12175 SW HALL BLVD
SUBDIVISION: ZONING: CBD
BLOCK: LOT: JURISDICTION: TIG
REISSUE: _ FLOOR AREAS _ =XTERIOR WALL CONS RUCTION _
CLASS OF WORK: DEM _ FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
'TYPE OF CONST: sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0.00 of ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT?: MEZZ?: REQD SETBACKS _ __ _REQUIRED _
FLOOR LOAD: psf LEFT_ ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR AL.RM : HN'DICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 6,000.00
Remarks: Demo/excavation. Demo existing SFR and Remove 500 yds soil.
House to be demolished is on sewer. EDU credit applies.
Owner: Contractor:
LANDIS, HARVEY H TRUSTEE ROYAL REMODELING RESOURCES INC
BY DAVE + KATHLEEN LEARY PO BOX 230805
10020 SW JOHNSON ST TIGARD, OR 97281-0805
TIAARD, OR 97223
one Phone: 684-7873
.
Reg #: LIC 90745
F_EESa REQUIRED INSPECTION'..
Type By Date Amount Receipt Erosion Onntrol losp4l4b,-9. 8ylc-SNs/y
PLCK CTR 13/13/02 $65.59 27200200000 Water Line Insp
Misc. Inspection
5PCT CTR 9/4/U2 $8.07 27200200000 Cap Sewer Line Insp
EROS CTR 9/4/02 $26.00 27200200000 Final Inspection
ERPC CTR 9/4/02 $8.45 27200200000
(additional fees not listed here)
Total $217.46
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all ether applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 dE ys. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Tho:,e rules are set forth in OAR
952-001-0010 through OAR 952-001-1987. You may obtain a copy of these rules or Mired questions to OUNC by
calling (503)246-6699 or 1-800-332-2344.
Pe rrn N tae
Slgn e: G�.- ___--
Iss ed By: — ----- -- -
-�- Call 63 175 by 7 p.m. for an inspection the next business day
Building Permit Application
--" "Datcreceived: / Z Permit no.: . 3
City of Tigard Project/appl.rt Expiredate:
Circ u)'I'ignrd Address: 13125 SW Hall ni t,Tigard,OR 97223
Phone: (503) 639-4171 Date issued: By: Receipt no.:
Fax: (503) 598-1960 Case file no.: Payment type: i
Land use approval: _ I&2 family:Simple Complex:
4
TYPE-OF PERMIT 41
❑ I &2 family dwelling or accessory U Commerciat/industrial U Multi-family U New conbtruction ❑Demolition
0 Addition/alteration/re piacement U Tenant impro%ctnt•ni ❑Fire spt :ler/alarm ❑Other: r
JOB SITE INFORMA"-.
Job address: 12-V15 S%,J
-�L�►t--L., t��,/ Bldg.no.: Suite no.;
Lot: Bltxk: Subdivision: _ Tax map/tax lot/account no.: �1•
Project name: L t2 G�Z 120 - off \.
Description and location of work on premises/special conditions: 0W_&Nd Iff k<
(M NUR FOR SPECIAL INFORMATION, USE CIIECKLIST
(Fl
Name: L��R- t t t f
Mailing address: Z- gp I & 2 family duelling:
City: T o SuUc:(y7 ZIP: Valuation of work............ ............... ......... .
Phone:4 Fax: E-mail: No.of bedrooms/haths.................................
Owner's representative: Total number of floc•s................................. _
Phone: 0 3 Fax: I New dwelling area(sq.ft.) ..........................
Garage/carport area(sq.ft.)......................... _-
Name: Covered porch area(sq.ft.) .........................
Mailing address: p�� Deck area(sq, ft.) ........................................
Other structure area(sq. ft.).........................
: ZIP:
City: State __-
Email:
phone: Fax:
('otnnierclal/industrialhnulli-family:
t Valu;tionul'work.............._. .....................
.
COWRACT
Existing bldg.area(sq. It.) ......................... __-
Business name:_���tG % C% New bldg.area(sq.ft.)
Address: F"p >�k_ 0 O';_ Number of stories........................................ -
City State[Yt ZIP: ]�e 1 Type of constntction
Phone:e_f3 4- Fax: E-mail: -__-- Occupancy group(s): Existing: --
CCB no.: !� p -Q New:
City/metro lie.no.: �� �,'� Notice:All contractors and subcontractors are required to be
ARCIMECTIDESIGNiER licensed with the Oregon Construction Contractors Board under
Name: provisions of ORS 701 and may he required to be licensed in the
Address: - jurisdiction where work is being performed.If the applicant is
City:
State: Z.Ip: exempt from licensing,the following reason applies:
Contact person: flan na:
Phone: Fax: I -ni:ul
Name: 1contact person: Fees due upon application ................ ......_ - _--
Address: Date received: _.._--_ _
City: State: LIP: Amount received ......................................... $
Phone: _ Fru: E-mail: Please refer to fee schedule.
I hereby certify I have read and examined this application and the NM all Jurisdictions xcepl credit cards,please call Juriut:ction for morn inrormation.
attached checklist. All provisions of laws it I ordinances governing this Ovisa U Mastercard
work will be complied wi�th, ll -•
, hed herein or notcredo card number
t .� Date:
_ — iplre;
Authorized signature: --- I)ate: f O Name r><cardholder to shown on crcdH cud S
Print name: ra S�'i kjC�C —— Ctrdholtkr signature — AtnoaOt
Notice:This permit application expires if a permit is not obtained within 180 days after it has be accepted as complete. 440.4613 ttyaatcoM)
REV' 67
SEE 35MM
ROLL # 20
FOR
OVERSIZED
DOC' :UM
Elti T